A couple of really good comments came in today:
Medical Oxygen Wakeup Costs Reduction B You do not mention the fact that owning a bulk tank makes the homecare provider a "manufacturer" in the eyes of the FDA (compared with a "distributor") and opens them up to increased inspections by the FDA or the state board of pharmacy/dept of health.
Medical Oxygen Wakeup Costs The bulk supply company should work with their clients to stagger the refill time. They should also invest in a larger capacity fill hose to get these trucks "in and out" as the faster their customers trucks are on the road making deliveries, the less time their employees are having to spend filling these vans.